Study shows surgical outcomes of delayed-presentation unilateral juvenile cataract
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MONTEREY, Calif. — A study conducted at the Children’s Mercy Hospital in Kansas City examined the outcomes of surgical intervention in infants with delayed-presentation unilateral juvenile cataract beyond the recommended period of 6 weeks.
The study, presented by Akhila Alapati, MD, and co-authors in a poster at the Women in Ophthalmology 2022 Summer Symposium, was a review of charts of children with visually significant juvenile cataract who had no surgery or underwent surgical intervention after 6 weeks of age.
Of the 14 children who underwent surgery, one was left aphakic and the child’s visual acuity worsened from 20/125 to 20/400. Three children had no visual improvement and maintained their preoperative visual acuity of 20/125, 20/100 and 20/80. Ten patients improved, but five gained only one line of vision. The most significant improvement was from counting finger to 20/60 in one case. The mean increase in vision was one line, from 20/126 to 20/80.
The non-surgical patients improved by a median of one line during the follow-up.
“The data in this study can further guide the conversations pediatric ophthalmic surgeons have with the parents of the children in order to build expectations about surgical intervention,” the authors concluded.
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Alapati A, et al. The utility of surgical intervention in delayed presentation of juvenile unilateral cataract. Presented at: Women in Ophthalmology Summer Symposium; Aug. 25-28, 2022; Monterey, California (hybrid meeting).
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